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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
Reaching those most in need: A scoping review of interventions to improve health care quality for disadvantaged populations with osteoarthritis
Arthritis Care and Research, Volume 63, No. 1, Year 2011
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Description
Objective: To conduct a systematic review to identify and describe the scope and nature of the research evidence on the effectiveness of interventions to improve health care quality or reduce disparities in the care of disadvantaged populations with osteoarthritis (OA) as an example of a common chronic disease. Methods: We searched electronic databases from 1950 through February 2010 and grey literature for relevant articles using any study design. Studies with interventions designed explicitly to improve health care quality or reduce disparities in the care of disadvantaged adult populations with OA and including an evaluation were eligible. We used the PROGRESS-Plus framework to identify disadvantaged population subgroups. Results: Of 4,701 citations identified, 10 met the inclusion criteria. Eight were community based and 6 targeted race/ethnicity/culture. All 10 studies evaluated interventions aimed at people with OA; 2 studies also targeted the health care system. No studies targeted health care providers. Nine of 10 studies evaluated arthritis self-management interventions; all showed some benefit. Only 1 study compared the difference in effect between the PROGRESS-Plus disadvantaged population and the relevant comparator group. Conclusion: There are few studies evaluating the effectiveness of interventions to improve health care quality in disadvantaged populations with OA. Further research is needed to evaluate interventions aimed at health care providers and the health care system, as well as other patient-level interventions. Gap intervention research is also needed to evaluate whether interventions are effective in reducing documented health care inequities. © 2011, American College of Rheumatology.
Authors & Co-Authors
Borkhoff, Cornelia M.
Canada, Ottawa
University of Ottawa
Wieland, Mark L.
United States, Rochester
Mayo Clinic
Myasoedova, Elena
United States, Rochester
Mayo Clinic
Ahmad, Zareen
Canada, Toronto
University of Toronto
Welch, Vivian A.
Canada, Ottawa
University of Ottawa
Hawker, Gillian A.A.
Canada, Toronto
University of Toronto
Li, Linda C.
Canada, Vancouver
The University of British Columbia
Buchbinder, Rachelle
Australia, Clayton
Monash University
Ueffing, Erin
Canada, Ottawa
University of Ottawa
Beaton, Dorcas E.
Canada, Toronto
University of Toronto
Cardiel, Mario H.
Mexico, Morelia
Hospital General Dr. Miguel Silva
Gabriel, Sherine E.
United States, Rochester
Mayo Clinic
Guillemin, Francis
France, Vandoeouvre-les-nancy
Apemac Adaptation, Mesure et Evaluation en Santé
Adebajo, Adewale Olukayode
United Kingdom, Sheffield
The University of Sheffield
Bombardier, Claire
Canada, Toronto
University of Toronto
Hajjaj-Hassouni, Najia
Morocco, Sale
Hôpital el Ayachi
Tugwell, Peter
Canada, Ottawa
Ottawa Hospital Research Institute
Statistics
Citations: 42
Authors: 17
Affiliations: 10
Identifiers
Doi:
10.1002/acr.20349
ISSN:
21514658
e-ISSN:
15290131
Research Areas
Health System And Policy
Study Design
Randomised Control Trial
Cross Sectional Study
Study Approach
Systematic review